It looks like President-Elect Trump has found the man to replace Obamacare
What has Congressman Price proposed to replace Obamacare? Image
Posted on 11/28/2016 7:38:06 PM PST by TheRef
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It looks like President-Elect Trump has found the man to replace Obamacare
What has Congressman Price proposed to replace Obamacare? Image |
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Price is the likely HHS secretary pickAccording to the New York Times, citing a transition team official, President-Elect Trump has tapped Congressman Price to head the Health and Human Services Department. He will control a $1 trillion budget and administer health programs that cover over 100 millions citizens. Congressman Tom Price is a medical doctor who worked in price practice as an orthopedic surgeon and spent some time teaching at the Emory University School of Medicine. He attended the University of Michigan to receive his medical degree. What has Congressman Price proposed to replace Obamacare? Congressman Price has proposed replacing Obamacare with a plan intended to put patients and doctors in charge by prioritizing innovation, accessibility and affordability. |
He has proposed doing this by utilizing individual health pools and expanded health savings accounts. He has also proposed tax credits for the purchase of health insurance and reforms aimed at stemming lawsuit abuse directed at medical professionals. This approach puts Congressman Price right in line with the mainstream Republican approach of looking for private sector solutions whenever possible while relying on government when necessary, such as in the implementation of high risk pools.
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Kick out the 29 hour Obamacare work week.
Kick out the penalty for those not insured.
Allow competition and mobility.
Let patients and doctors talk to each other directly.
I just LOVE winning! :-)
Combine this with tort reform and eliminate all the obsessive and useless paperwork and staffing doctors must pay for, which may and probably should be done at the State level, and perhaps the healthcare cluster F the Democrats have created can be cleaned up. I’ve seen some other countries’ health insurance programs that work. It can be done.
Allows individuals to opt out of Medicare without losing Social Security benefits (as dictated by
current law). >>>> wow
When I pay for doctor to care for me, I want a doctor, not always a 'physicians assistant', or discount my premium.
When I search for insurance coverage, I should not be restricted to my county, or my State ..
(where there is already limited availability, as they are all Blue Cross/Blue Shield, anyway).
My biggest pet peeve with the healthcare system is that doctors and hospitals bill you for hundreds of line items that never have prices disclosed upfront and that you are under duress to pay in an emergency situation. You have to sign that you will pay the bill, regardless of what the insurance company says, before they will treat you. The insurance company barely cares what you get charged since they can just raise your premiums — mine went from $3K/yr to $9K/yr in less than 3 years, and now I haven’t had any for 6 years.
I’d much prefer if Medicaid and Medicare were combined into a single HMO plan with small co-pays for office visits, tests, prescriptions, and hospital stays. Co-pays just large enough to dissuade hypochondriacs from going to the doctor ($20) unnecessarily, try any drug just for fun ($20), run any test ($50), and use hospitals as hotels or nursing homes ($200/day). Otherwise, eliminate all the detailed billing, insurance authorizations, and overhead staff.
The patient pool of Medicaid and Medicare would cover the entire age and demographic range with 100 million people who are both healthy and sick. Allow doctors and hospitals to request x-number of patients up to a maximum to ensure they are not overloaded, and then pay them a fixed amount per patient per year to provide healthcare to those people. No cherry-picking patients based on health, as the patients choose the doctors when notified of an opening by Medicaid/Medicare, and the doctor can’t refuse to accept them. All costs for tests, surgeries, therapy, office visits, etc. all get paid for by the providers with no additional billing to anyone — except for the co-pays which the doctor can WAIVE or collect as he deems consonant with the patient’s best health.
The doctor is not going to do unnecessary tests, surgeries or therapies when the cost is mostly coming out of his own pocket. The patient isn’t going to approve a bunch of tests that are going to cost a co-pay unless the doctor thinks they are so important he is willing to waive or reduce the co-pay. If the patient complains about not getting good service, the doctor can lose all past premiums for that patient as well as be fined and possibly kicked out of the system following investigation if it shows he has been withholding service to make money.
Medicare and Medicaid are both essentially “single payer” systems already, but the pay-per-service model is horribly inefficient and prone to fraud. Making them an HMO wouldn’t change the single-payer aspect but would make incentivize the providers to minimize the actual costs of providing healthcare.
CA’s Kaiser-Permanente is the original HMO model.
In my youth, it was the best-run health plan in Southern CA. Had a wide network of clinics and hospitals.
For a low monthly premium payment, it offered high quality, world class medical care.
Far superior to private doctor pay per fee care. It was the only plan working and middle class families could afford.
I paid nothing out of pocket, apart from the usual small co-payment to have my fractured elbow fixed.
Obamacare has eliminated it for the vast majority of people. That needs to change.
”State inspection laws, health laws, and laws for regulating the internal commerce of a State, and those which respect turnpike roads, ferries, &c. are not within the power granted to Congress [emphases added].” —Gibbons v. Ogden, 1824.
“Congress is not empowered to tax for those purposes which are within the exclusive province of the States.” —Justice John Marshall, Gibbons v. Ogden, 1824.” —Gibbons v. Ogden, 1824.
”From the accepted doctrine that the United States is a government of delegated powers, it follows that those not expressly granted, or reasonably to be implied from such as are conferred, are reserved to the states, or to the people. To forestall any suggestion to the contrary, the Tenth Amendment was adopted. The same proposition, otherwise stated, is that powers not granted are prohibited. None to regulate agricultural production is given, and therefore legislation by Congress for that purpose is forbidden [emphasis added].” —United States v. Butler, 1936.
Looking good, folks. Looking good.
It just struck me that Tom LOOKS like a doctor. Even more interestingly, he looks like a doctor I’d like to go to. Weird how that immediately ran through my mind.
Ask your doctor how many office staff he has in comparison to a decade ago. You will find that it has doubled if not tripled.
$436.00 hammers
Never. Medicaid and Medicare are two separate things, not analogous in any way. Medicaid is an entitlement. Medicare is not.
Yes, I had friends 30 years ago that were very happy with Kaiser Permanente. A friend of mine today is a health insurance broker and he told me a few years ago that it still has the highest satisfaction rating among its customers.
Unfortunately, they are now cherry picking customers if you want an individual plan with them. They rejected my application when I was 45 because I already had high blood pressure.
Logically, it make sense that an HMO works best when they get a large group all at once because they get a more average spread of ages and health status. Groups don’t get much bigger than the 100 million in Medicaid + Medicare, which is why I think an HMO model could realize a lot of savings and inefficiencies over the current model.
That is my pet peeve with people who say we need to spend more money on our military. We have just seen so many examples of equipment price tags that are out of this world.
The military industrial complex has been fleecing American taxpayers for decades and the medical industrial complex seems to be outdoing them with the cost of services and tests.
I had a scheduled MRI my insurance was supposed to pay 80% of 8 years ago, but when the MRI lab St. Jude’s sent me to reluctantly told me that it would cost — after 20 minutes on the phone with them just to get the actual price ahead of time — $11,000, I canceled. I found a place that would do the same MRI for $400 cash w/o insurance. How much does it add to insurance premiums when they are willing to pay 80% of $11,000 (or almost $9,000) for something that costs $400 ? Or, even worse, they would let me pay my $2K+ portion and “negotiate” their end down to nothing.
Similarly, my primary care doctor wanted me to get a set of blood tests for my annual physical, but when they realized I have no insurance they recommended an outside lab that would cost $100 compared to their lab that would charge $400 for the same tests for insured customers. An HMO would probably run those tests internally at an internal cost of $50.
They are both paid for out of current tax dollars. The idea that there is some sort of trust fund where our contributions are sitting and growing for when we retire is a myth.
“Tax credits” means welfare payments sent out to people from the IRS. It’s as inappropriate as NASA doing Muslim outreach. That is not the IRS’s job.
Welfare in any form is corrosive to our society and devastating to our debt. It is the “free stuff” Bernie was talking about passing out.
A tax DEDUCTION for health care expenses makes much more sense. It means no one is paid out any money that they didn’t already earn. “Tax credit” is just bogus liberal/RINO language for welfare that could include paying out taxpayer money to people who paid ZERO taxes.
In 2028, Medicare’s reserves will be exhausted and it will only be able to cover 87% of payouts with the incoming revenue.
We all know they will simply add money to the debt to cover that shortfall. The payouts will never truly be dependent on what’s in the Medicare “fund.”
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